Southern Dental LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

G1-0001040 Issued in DE

Legal business name

SOUTHERN DENTAL LLC

Practice address

703 Health Services Dr
Seaford, DE 19973-5784

Phone

(302) 999-7600

Fax

(302) 998-6704

NPI assigned

Feb 5, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Paul Edwin Brown, DMD

Title

Owner

Phone

(302) 999-7600

Specialties & licenses 3

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1391558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394064000000",
    "number": "1922422435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "703 HEALTH SERVICES DR",
            "city": "SEAFORD",
            "state": "DE",
            "postal_code": "199735784",
            "telephone_number": "302-999-7600",
            "fax_number": "302-998-6704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "703 HEALTH SERVICES DR",
            "city": "SEAFORD",
            "state": "DE",
            "postal_code": "199735784",
            "telephone_number": "302-999-7600",
            "fax_number": "302-998-6704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-05",
        "last_updated": "2014-03-06",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "EDWIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "302-999-7600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "DE",
            "license": "G1-0001040",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "DE",
            "license": "G1-0001216",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "DE",
            "license": "G1-0001011",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Smith
• Renee W Smith, MSW
• Priscilla Songate, APRN
• Southern Delaware Foot & Ankle LLC
• Southern Delaware Sports Care and Rehabilitation, LLC
• Christina Kay Spanos, RN
• Susan S Spause, F.N.P.
• State of Delaware
• Amanda Leigh-Ann Steele
• STH Associates Inc

• General Practice Dentistry in Seaford, DE
• Providers in Seaford, DE by specialty
• General Practice Dentistry in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.